Provider Demographics
NPI:1285777169
Name:BOYD, ANNA MARGARET (MPT)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MARGARET
Last Name:BOYD
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 10TH ST
Mailing Address - Street 2:# 3
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033
Mailing Address - Country:US
Mailing Address - Phone:425-827-0203
Mailing Address - Fax:
Practice Address - Street 1:215 6TH AVE N
Practice Address - Street 2:BIOSPORTS NORTHWEST
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109
Practice Address - Country:US
Practice Address - Phone:206-956-9300
Practice Address - Fax:206-956-9462
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00005366225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0167849OtherL AND I
WA0167849OtherL AND I